Individual provider Active NPI

John Zelazowski

  • Optometrist
  • Cheswick, PA
National Provider Identifier
1497736227
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG7 Issued in PA
Practice address
1423 Pittsburgh St
Cheswick, PA 15024-1448
Phone
(724) 274-8383
Fax
(724) 274-3206
NPI assigned
Nov 9, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG7 PA Primary

Addresses

Primary practice location

1423 Pittsburgh St
Cheswick, PA 15024-1448

Mailing address

1423 Pittsburgh St
Cheswick, PA 15024-1448
Phone (724) 274-8383

Other identifiers 12

IdentifierTypeStateIssuer
4063390001OtherDEMERC
138595OtherEYEMED
001806272000MedicaidPA
0017540OtherDORAL
21149OtherCLARITY VISION
825201OtherPAHIGHMARK
150874OtherHEALTH ASSURANCE
311359OtherUPMC
138595OtherCOLE MANAGED VISION
150874OtherHEALTH AMERICA
150874OtherADVANTA
397307OtherNVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091222000153 PA Practitioner - Optometry 6608916796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1423 Pittsburgh St
Cheswick, PA 15024-1474
Phone (724) 274-8383

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG7PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Alle-Kiski Eye Care Inc. Optometrist CurrentSince Oct 18, 2009 Accepting new patients
Jaywalker Optometry, LLC Optometrist PastSince Jul 1, 2019 Accepting new patients

Locations

1423 Pittsburgh St
#C
Cheswick, PA 15024

1423 Pittsburgh St
Cheswick, PA 15024
Phone (724) 274-8383

Interoperability endpoints

  • Direct secure messaging: johnc.zelazowski@uprisedirect.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1497736227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 PITTSBURGH ST",
            "city": "CHESWICK",
            "state": "PA",
            "postal_code": "150241448",
            "telephone_number": "724-274-8383",
            "fax_number": "724-274-3206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 PITTSBURGH ST",
            "city": "CHESWICK",
            "state": "PA",
            "postal_code": "150241448",
            "telephone_number": "724-274-8383",
            "fax_number": "724-274-3206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELAZOWSKI",
        "first_name": "JOHN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG7",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEMERC",
            "identifier": "4063390001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "138595",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001806272000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL",
            "identifier": "0017540",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLARITY VISION",
            "identifier": "21149",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "825201",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ASSURANCE",
            "identifier": "150874",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "311359",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLE MANAGED VISION",
            "identifier": "138595",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "150874",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANTA",
            "identifier": "150874",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NVA",
            "identifier": "397307",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheswick, PA

Sources for this page

Verify at the official NPI Registry.